| Page (PDF) | 25 |
|---|---|
| Certificate Number | – |
| Name of Deceased | Cottman, Charles |
| Place of Death | Somerset |
| Town of Death | Dublin Dist near Perry Hawkins |
| Sex | M |
| Race | Black |
| Married, Widowed, or Single | Single |
| Date of Birth | Don't know |
| Age (year, month, days) | about 12 yrs |
| Occupation or Employer | None |
| Birthplace | Maryland |
| Father's Name | Sydney Cottman |
| Father's Birthplace | Maryland |
| Mother's Name | Don't know |
| Mother's Birthplace | Maryland? |
| Informant (Relationship and Address) | Otha Hargis, Princes Anne, Md |
| Date of Death | 2/3/1912 |
| Cause of Death and Time Attended by Doctor | Cause of death given as Epiliepsy - No physician in attendance - F R Pinkerton, sub Reg Dublin Dist |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | T.J. Smith, Pr Anne Md |
| Burial Place, Date, Undertaker, and Address | Union Church 2/4/1912 |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)], Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)], Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
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